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GIE SESAM-VITALE and organization of the program A. M. Jacques de VARAX, General Manager. SUMMARY. GIE SESAM-VITALE The SESAM-Vitale program and figures Evolutions. GIE SESAM-VITALE. Compulsory health insurance. Ministry of Health. Complementary health insurance. Health professionals.
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GIE SESAM-VITALE and organization of the programA M. Jacques de VARAX, General Manager
SUMMARY • GIE SESAM-VITALE • The SESAM-Vitale program and figures • Evolutions
Compulsory health insurance Ministry ofHealth Complementary health insurance Health professionals Hospitals GIP-CPS Clinics Insured Telecomm-unications operators Software package publishers Industry (smartcards, readers) Providers VARs Frontaloperators OCT Environment and Partners of the GIE SESAM-VITALE
GIE SESAM-VITALE’s membersCompulsory health insurance and complementary (since 2000)
Mission of GIE SESAM-VITALE • designs, integrates and operatesthe technical infrastructures betweenits members and the health professionals • 185 people • 60 million euros budget • Working with important subcontractors
Programs managementpilots major projects, defines the system’s architecture, coordinates European projects, promotes continuous improvement Technical managementexpertise, technical architecture, smartcards, security, development, qualification and integration Operations managementdeployment of the card, logistic, operation, technical support, quality service, supervision and promotion of the system The organization
Health Insurance IT centers(data processing centers) Frontal for retrieving Electronic Health Claims Forms Compulsory health insurance Computerwith software enabling the professional to enter medical consultation data Complementary health insurance Frontal for retrieving electronic reimbursement claims Vitalereader Return files Vitale cards and Health Professional’s cards Flow transmission
The SESAM-Vitale program (january 2007) smartcard reader industry Health Professional’s card 945 million electronic health claim forms per year Compulsory health insurance 75certified smartcard readers SESAM-Vitale Network 234 000 Health Professionals including Complementaryhealth insurance 97% Pharmacists 157 Software package publishers 84% GPs CEAM Vitale Card 24 500 updating locations Smartcard industryand companies where smartcards are personalized
Health professionals using SESAM-Vitale Forecast for 2006: 82 % of the health professionals using SESAM-Vitale
evolution of the number of health care electronic sheets (in million) Monthly average on a year, in million of health care electronic sheets
"Vitale 2" electronic cards and the new parc management: • Photography • 32 k Eeprom memory • Deployment for four years from October 2006 On line Services : • Historic of reimbursement • Access to severs • Vitale card’s update • Opposition file of cards • ADL control possible • Other services Carry on of the security’s development : • List file of opposition of the "Vitale" cards • Etc Evolutions 2006 - 2007